Individual
MARY JANE CALLEGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5301 E HURON RIVER DR, DEPT OF PEDIATRICS, YPSILANTI, MI 48197-1051
(734) 712-3325
Mailing address
5301 E HURON RIVER DR, DEPT OF PEDIATRICS, YPSILANTI, MI 48197-1051
(734) 712-3325
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301046303
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1929 849
—
MI
01
—
700H161150
BS
MI
05
—
OH 16115045
—
MI
Enumeration date
03/27/2006
Last updated
02/01/2016
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